Cited by 1,598Reproductive Health and ContraceptionInternational Human Rights and Reproductive LawAdolescent Sexual and Reproductive Health

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Accelerate Progress-sexual and reproductive health and rights for all: report of the Guttmacher-Lancet Commission

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Starrs, Ann M, Ezeh, Alex C, Barker, Gary, Basu, Alaka, Bertrand, Jane T, Blum, Robert, Coll-Seck, Awa M, Grover, Anand, Laski, Laura, Roa, Monica, Sathar, Zeba A, Say, Lale, Serour, Gamal I, Singh, Susheela, Stenberg, Karin, Temmerman, Marleen, Biddlecom, Ann, Popinchalk, Anna, Summers, Cynthia, Ashford, Lori S·2018·The Lancet

DOI 10.1016/s0140-6736(18)30293-9

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“This is especially relevant in countries like Zambia with significant gaps in human resources for health and facing a high burden of SRHR challenges among adolescents [5, 24, 31].”
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“Sexual and reproductive health (SRH) and the rights associated with it are central to the health and well-being of human beings in addition to ensuring economic development and prosperity (Starrs et al. 2018).”
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Youth Uptake of Digital Sexual and Reproductive Health Services Across Sociodemographic Groups (2018-2022): A Total Population Study from Stockholm, Sweden
Hellsten, L., Ahlqvist, V. H., Nielsen, A. M., Brandén, G., Ekström, A. M., & Kosidou, K. (2025) · Mayo Clinic Proceedings Digital Health · doi:10.1016/j.mcpdig.2025.100251 · Cited by 2
“31,45 Greater use of secure messaging services among youth has for instance been observed during months coinciding with increased SRH needs, potentially indicating lower thresholds to SRH counseling in sensitive matters.”
The effects of development assistance on sexual and reproductive health services in low- and lower-middle-income countries: a cross-country panel data analysis
Ekman, B., Sundewall, J., & Schmit, J. (2025) · Journal of Development Effectiveness · doi:10.1080/19439342.2025.2526842 · Cited by 2
“Two studies report that ODA has reduced HIV/AIDS-related mortality (Hsiao and Emdin 2015; Nunnenkamp and Öhler 2011).”
Influential
Evaluation of Three Large Language Models’ Response Performances to Inquiries Regarding Post-Abortion Care in the Context of Chinese Language: A Comparative Analysis
Xue, D., & Liao, S. (2025) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s531777 · Cited by 2
Impact of Displacement on Refugee Women's Sexual and Reproductive Health: A Participatory Study Using Photovoice
Sherally, J., Dnestrianschii, F., Alshamari, Z., Beshir, E., Jafari, H., Jafari, M., Mohamed, K., Mohammadyasin, S., van den Muijsenbergh, M. E. T. C., van den Akker, T., et al. (2025) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.18328 · Cited by 2
Shaping the WHO Sexual Health Assessment of Practices and Experiences questionnaire: a descriptive study on the real-world example from Portugal
Patrão, A. L., Gonsalves, L., Brizuela, V., & Nobre, P. J. (2025) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2025.2554458 · Cited by 2
“7 10 However, behavioural issues of sexuality, which have a high impact on health, have been neglected.”
Maternity care providers’ attitudes and beliefs toward weight and body size during pregnancy: A cross-sectional survey
Kearney, L. N., Jenkinson, B., Robins, A., Callaway, L. K., van den Heuvel, J., Roussin, M., & Hill, B. (2025) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2025.101145 · Cited by 2
Disease burden of infertility in five East Asian countries from 1990 to 2021 and prediction for 2050: An analysis of the Global Burden of Disease study 2021
Sun, F., Wang, W., Ding, G., Wang, Y., Liu, H., Chi, Y., Guo, Y., Ma, X., Ma, J., & Wu, J. (2025) · PLoS ONE · doi:10.1371/journal.pone.0331617 · Cited by 2
“Additionally, the widespread adoption of male health check-ups in these countries leads to a higher detection rate of male infertility [29].”
Potentials for Improving Support and Care to Survivors of Sexual Violence – a Case Study Within a Multiorganizational Setting in Sweden
Kilander, H., Lyssarides, C., Fredlund, C., Lindenfalk, B., Fristedt, S., & Nordin, A. M. M. (2025) · International Journal of Integrated Care · doi:10.5334/ijic.8995 · Cited by 2
International Adoptees’ Sexual Health: To Be Seen or to Be Visible?
Linde, A., & Sims, M. C. (2025) · Genealogy · doi:10.3390/genealogy9040125 · Cited by 2
“Statistically, 350 million individuals around the globe contract a sexually transmitted infection (STI) annually (Starrs et al. 2018), and women exposed to violence in their relationships are particularly at risk (World Health Organization 2013).”
Out of focus: limited representation of men’s health needs in regional and global sexual and reproductive health policy
Shand, T., Evoy, C., Baker, P., Shattuck, D. C., Cornell, M., & Griffith, D. M. (2025) · Health Policy and Planning · doi:10.1093/heapol/czaf090 · Cited by 2
“The findings of this analysis also point to how the results of these gen-der-transformative interventions have also not been reflected in global SRH policy (the focus of this analysis), mirroring findings that such programmes are not scaled up after the pilot stage (Starrs et al. 2018).”
Evidence on sexual and reproductive health service delivery during and post COVID-19: a multi-country facility assessment
Ali, M., Kapustianyk, G., Seuc, A. H., Bahamondes, L. G., Cecatti, J. G., Zotareli, V., Soeiro, R. E., Fernandes, K. G., Rogerio, M. B., Haddad, S. M., et al. (2025) · Reproductive Health · doi:10.1186/s12978-025-02185-w · Cited by 2
“Early pandemic studies modeled the potential impacts, showing that even a 10% reduction in comprehensive SRH services 1 could lead to an estimated 15 million unintended pregnancies, 3.3 million unsafe abortions, and 29,000 additional maternal deaths during the next 12 months [9–12].”
InfluentialSelf-citation
Gender-based violence experienced by transgender people in China: A scoping review
Liao, J., Bailey, J., Mercer, C. H., & Witney, T. (2025) · International Journal of STD & AIDS · doi:10.1177/09564624251405966 · Cited by 2
Association of female reproductive traits with altered aging trajectories: Insights from genetic and observational analyses
Lou, C., Wang, G., Xiong, Z., Jiang, Y. C., Li, Y., Zhu, M. Q., Yang, H., Wang, L., He, L., Chang, H., et al. (2025) · Cell Reports Medicine · doi:10.1016/j.xcrm.2025.102481 · Cited by 2
The Spectrum of Violence: a Scoping Review of Scientific Articles Published between 2014 and 2024 on Sexual and Reproductive Health and rights, Focusing on Gender-based Violence of Migrant Women on the American Continent
Alcouffe, L., Rabier, S., Tareau, M.-A., Nacher, M., Parriault, M.-C., Vignier, N., & Adenis, A. A. (2025) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-025-01835-2 · Cited by 3
Unveiling the therapeutic promise of Rosa canina L.: A phytochemical and ethnopharmacological approach
Chawla, A., Kumar, A., Tanwar, A. K., Uppal, J., Gupta, S. K., Prashar, V., Mir, P. A., & Kumar, N. (2025) · Phytomedicine Plus · doi:10.1016/j.phyplu.2025.100947 · Cited by 2
Unmet needs and inequalities in sexuality, consent and relationships education: a cross-sectional study of upper secondary school students in Sweden
Halldén, J., Svensson, Å., Håkansson, M., & Makenzius, M. (2026) · Sex Education · doi:10.1080/14681811.2026.2622391 · Cited by 2
Development and psychometric evaluation of the stigma scale for caring for individuals with sexually transmitted infections (STISS)- student version
Açıl, D., & Üstgörül, S. (2026) · BMC Infectious Diseases · doi:10.1186/s12879-026-12963-x · Cited by 2
Women’s experiences of sexuality during menopausal transition: An interview study
Högblom, M., Lycke, A., Fristedt, K., & Andersson, E. P. (2026) · European Journal of Obstetrics & Gynecology and Reproductive Biology X · doi:10.1016/j.eurox.2026.100462 · Cited by 2
“Sexual health, an integral component of overall health, is defined not solely by the absence of disease or dysfunction, but also by the presence of physical, emotional, mental, and relational well-being [3].”
Implications of the Dipo rites for adolescent sexual and reproductive health and rights in Ghana
Asubonteng‐Manu, E., Kyei‐Gyamfi, S., & Kyei‐Arthur, F. (2026) · Discover Public Health · doi:10.1186/s12982-026-01962-7 · Cited by 2
Selfhood and Self-Construal
Au, A. K. Y., Chen, S. X., & Cross, S. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.017 · Cited by 2
A Gendered Light on Empathy, Prosocial Behavior, and Forgiveness
Karniol, R., & Čehajić‐Clancy, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.020 · Cited by 1
Misconceptions and Unmet Need for Modern Contraception among Cambodian Females: A Mix Methods Study
Rizvi, F., Williams, J. W., Bowe, S. J., & Hoban, E. (2020) · Sexes · doi:10.3390/sexes1010005 · Cited by 2
“The Lancet Commission in 2018 reports that adolescent girls and young women compared to older women use short-term, irregular modern contraception leading to higher rates of method failure resulting in unintended pregnancies [4].”
Background
Contraception knowledge and uptake among in-school adolescents in three South African townships: Baseline findings from the Girls Achieve Power (GAP Year) Trial
Pleaner, M., Kutywayo, A., Beksinska, M. E., Mabetha, K., Naidoo, N., & Mullick, S. (2022) · Gates Open Research · doi:10.12688/gatesopenres.13636.2 · Cited by 2
Enablers of sexual and reproductive health and rights interventions in low- and middle-income countries. Insights from capacity development projects implemented in 13 countries in Africa and Asia
Tumwine, G., Östergren, P., Agardh, A., Okong, P., & Asamoah, B. O. (2022) · Global Health Action · doi:10.1080/16549716.2022.2114148 · Cited by 2
“Sexual and reproductive health and rights (SRHR) are essential components of good health and sustainable development [1,2].”
Background
Rethinking the donor's role in strengthening health systems through sexual and reproductive health and rights partnerships: A qualitative analysis of Ugandan case studies
van Kelle, E., Spronk, S. I., Kibira, D., & Aantjes, C. (2023) · Journal of International Development · doi:10.1002/jid.3749 · Cited by 2
Sustainable financing of AYSRH programs by local governments through the TCI model
Otondi, L., Aloo, N., Kagwe, P., Matekwa, A., Miriti, K., Njoki, L., Sama, D. J., Owino, K., & Nyachae, P. (2023) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2023.1060857 · Cited by 2
Estimating the economic impact of COVID-19 disruption on access to sexual and reproductive health and rights in Eastern and Southern Africa
Kipruto, H., Karamagi, H. C., Kidane, S. N., Mwai, D., Njuguna, D., Droti, B., Muthigani, W., Olwanda, E. E., Kirui, E., Adegboyega, A. A., et al. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1144150 · Cited by 2
Knowledge of reproductive rights and its associated factors among youths of Bule Hora Town, Oromia Region, Ethiopia, 2021. A community-based cross-sectional study design
Amaje, E., Geremu, G., Melesse, G. T., & Bonkiye, A. J. (2023) · Clinical Epidemiology and Global Health · doi:10.1016/j.cegh.2023.101347 · Cited by 2
Perspective Chapter: Sexual health interventions for adolescents
Mantula, F., Chauraya, Y., Danda, G., Chaibva, C., Ngwenya, T., Gwatiringa, C., & Chamisa, J. A. (2023) · IntechOpen eBooks · doi:10.5772/intechopen.1001605 · Cited by 2
Exploring the effect of early menarche on sexual violence among adolescent girls and young women in southeastern Ghana: a longitudinal mediation analysis
Ibitoye, M., Sommer, M., Davidson, L. L., & Sandfort, T. G. M. (2023) · Sexual and Reproductive Health Matters · doi:10.1080/26410397.2023.2244271 · Cited by 2
“The high prevalence of sexual violence and its resultant negative outcomes leaves a sizeable proportion of women and girls unable to achieve “a state of physical, emotional, mental, and social wellbeing in relation to all aspects of sexuality and reproduction”, thus hindering the achievement of their sexual and reprod…”
El rol de nuevas organizaciones de la sociedad civil en la promoción de salud sexual en Chile
Alexandra Obach, K., Sadler, M., & Marín, M. (2023) · Revista de Antropología Social · doi:10.5209/raso.91748 · Cited by 2
Gravidez na adolescência: aspectos epidemiológicos da maternidade precoce no Estado do Pará, Brasil
Sodré, N. S., Schröder, N. T., & da Silveira, E. F. (2023) · Saúde e Pesquisa · doi:10.17765/2176-9206.2023v16n2.e11200 · Cited by 2
“De outra maneira, a garantia dos direitos sexuais e reprodutivos podem tanto evitar uma gravidez indesejada como proporcionar menos riscos na escolha do desfecho, portanto ela é essencial para igualdade de gênero e bem-estar da mulher 29 .”
Menstrual Rights Programs and Policies for Childbearing-aged women and girls: A Systematic Review
Valipour, N. S., Farnam, F., Abbasi, M., Damghanian, M., & Azizi, M. (2023) · Crescent Journal of Medical and Biological Sciences · doi:10.34172/cjmb.2023.4010 · Cited by 2
“Nevertheless, it seems that menstrual rights have received insufficient emphasis in the ministerial guidelines and documents on SRHR (11).”
BackgroundInfluential
Bienestar en mujeres trans: aproximaciones desde las trayectorias ocupacionales de profesionales de la salud
Hernández, P. A. H., Uribe, A. V. C., Díaz, L. A. S., & Orbegozo, L. J. V. (2023) · Saúde e Sociedade · doi:10.1590/s0104-12902023220112es · Cited by 2
Mothers’ Perspectives on Sexual and Reproductive Health and Rights of Adolescents with Intellectual and Developmental Disabilities in Kerala, India
Vincent, R., Nalini, R., & Krishnakumar, K. (2024) · Journal of Human Rights and Social Work · doi:10.1007/s41134-023-00290-z · Cited by 2
“While these targets provide a solid basis for progress, they do not adopt a comprehensive SRHR approach (Galati, 2015; Starrs et al., 2018; UN WOMEN, 2022).”
Sexual and Reproductive Health Among Cisgender Women With HIV Aged 18–44 Years
Dasgupta, S., Crim, S. M., Weiser, J. K., Blackwell, A., Lu, J.-F., Lampe, M. A., Dieke, A. C., & Fanfair, R. N. (2024) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2024.02.007 · Cited by 2
Sexual and Reproductive Health Service Seeking Scale (SRHSSS): development, validity, and reliability
Özdal, D., & Demiralp, M. (2024) · BMC Public Health · doi:10.1186/s12889-024-17867-6 · Cited by 2

Authors: Starrs, A. M., Ezeh, A. C., Barker, G., Basu, A., Bertrand, J. T., Blum, R., Coll-Seck, A. M., Grover, A., Laski, L., Roa, M., Sathar, Z. A., Say, L., Serour, G. I., Singh, S., Stenberg, K., Temmerman, M., Biddlecom, A., Popinchalk, A., Summers, C., & Ashford, L. S.
Affiliations: Guttmacher Institute (US)
Center for Global Development (US)
Promundo (US)
Cornell University (US)
Tulane University (US)
Johns Hopkins University (US)
Lawyers Collective (IN)
World Health Organization (CH)
Al-Azhar University (EG)
Aga Khan University Hospital Nairobi (KE)
Corresponding author: Singh, Susheela
ORCID: Ezeh, Alex C
Biddlecom, Ann
Popinchalk, Anna
Venue: The Lancet
Publisher: Elsevier BV
Published: 2018-06
Volume: 391
Issue: 10140
Pages: 2642-2692
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(18)30293-9
OpenAlex: W2800541910
Cited by: 1,598
References: 187
Citations by year: 2026: 163 · 2025: 190 · 2024: 223 · 2023: 323 · 2022: 147 · 2021: 118 · 2020: 356 · 2019: 52 · 2018: 26
FWCI: 24.75
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
eCommons - AKU (Aga Khan University) (submittedVersion)
Ghent University Academic Bibliography (Ghent University) (submittedVersion)
Funders: World Health Organization
William and Flora Hewlett Foundation
Government of the United Kingdom
Ministerie van Buitenlandse Zaken
Direktoratet for Utviklingssamarbeid
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Social Sciences › Political Science and International Relations › International Human Rights and Reproductive Law
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
Keywords: sexual and reproductive health and rights, universal health coverage, low- and middle-income countries, health care delivery, human rights, civil society advocacy, government accountability, evidence-based interventions
MeSH terms: Sexual Health, Female, Health Services Accessibility, Humans, International Cooperation, Male, Global Health, Consensus, Reproductive Rights, Health Status Disparities, Reproductive Health

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